13. Health needs in South West Chilterns and Marlow

1. The local population – key influences on needs

Size: 33,283 people live in this local community area. The total population grew more slowly than Bucks between 2001 and 2011 (up 1.9% vs. 5.5%). Age profile: older population than Bucks (lower % aged 15-34; higher % aged 35+).  5.9% of people are aged under 5 (1,967), compared to 6.3% in Bucks; numbers have decreased slightly (<1%) in the area between 2001 and 2011  8.4% of people are aged 75+ (2,781), compared to 7.8% in Bucks; numbers increased slower than the Bucks average (18% vs. 24% increase; 2001-11) Early years: in 2011, there were 362 births in the area, 5.9% of the total for Bucks. Deprivation: the area is less deprived than the Bucks average (average IMD 2010 score: 8.4; range 1.8 to 21.7), vs. the Bucks average of 10.2 [low scores are less deprived]. Ethnicity: the area is less ethnically diverse compared to the Bucks average (5.9% people are from a black and minority ethnic group, compared to 13.6% across Bucks). Carers: 3,353 people provide unpaid care in the area (10.1% in area vs. 9.8% in Bucks). 546 carers (1.6% of all people) provide more than 50 hours unpaid care per week. Lone parents: 651 people are lone parents with dependent children (4.8% of all households, compared with the Bucks average of 5.3%) Lone pensioners: 1,714 pensioners live alone in the area (12.5% of all households, compared with the Bucks average of 11.8%) Unemployed: 0.9% of the adult population claimed Job Seekers Allowance in 2012, which is lower than the Bucks average of 1.3% Free School meals: 4.4% of pupils claimed free school meals in 2012, which is lower than the Bucks average of 6.6%

2. Health, life expectancy and illness

Self-rated health: more residents rated their health as good or very good (87.0%) compared to Bucks (85.8%). Limiting long term illness: affects 4,215 residents (12.7% in area, compared to 13.4% for Bucks). The proportion increased by 6% over ten years. Life expectancy (people) was 84.3 years, nearly 2 years higher than the Bucks average (82.4 years), and ranging from 79.7 to 101.3 years across the area (2007-11). Life expectancy (men) was 82.1 years; higher than Bucks (80.6) and England (78.6). Life expectancy (women) was 86.4 years; higher than Bucks (84.1) and England (82.6). Most common causes of deaths: 33.7% from cardiovascular disease (heart attacks & strokes), followed by cancer (32.6%) & respiratory (11.7%) in the period 2007-11. Developed by Public Health, Buckinghamshire County Council Long term conditions – people registered with GP Practices in the area (2012/13) - Diabetes: 1,260 people have been diagnosed with diabetes (3.7% for area; 4.3% for Bucks). Across Bucks, around a quarter of diabetics may be undiagnosed. - High blood pressure: 4,607 people have diagnosed high blood pressure (13.4% for area; 13.1% for Bucks). Across Bucks, 45% of people with high blood pressure may be undiagnosed. - Heart disease: 943 people have heart disease (2.7% for area; 3.0% for Bucks) - Stroke: 559 people have had a stroke (1.6% for area; 1.6% for Bucks) - Dementia: 148 people diagnosed with dementia (0.4% for area; 0.5% for Bucks) - Depression: 1,089 people have had depression (3.2% for area; 4.4% for Bucks) - Cancer: 702 people have had cancer (2.0% for area; 2.0% for Bucks) Flu immunisations (range across local GP practices, 2012/13): pregnant women: from 38.8% - 45.2% (Bucks average 40.5%); people aged under 65 at-risk: from 50.2% - 59.5% (Bucks average 48.3%); older people: from 75.6% - 77.8% (Bucks average 73.3%) Emergency hospital admissions: in 2011/12, the rate was 532.4 admissions per 10,000 people, 17% lower than the Bucks rate (644.3 per 100,000). Falls: there were 103 hospital admissions for injuries from falls in 2011/12. The rate was 142.8 per 10,000 people, 2% higher than the Bucks rate (140.5 per 100,000).

3. Priorities for Prevention

Early years – interventions in the early years (up to 5 years old) can prevent social and health problems more cost effectively than later intervention.  6.0% of births in the area were low birthweight (vs. 7.1% in Bucks for 2009-11)  55.4% of children achieved a “good level of development” at age five (vs. 54.9% in Bucks; 52.0% in England; 2012-13 school year) Educational achievement is a strong predictor of future health Mental wellbeing has a range of benefits to physical health and achievement throughout life. Happy people live 7.5 -10 years longer than people who aren’t happy. Healthy lifestyles in Bucks: 1 in 4 adults are inactive (less than 30 minutes physical activity in a week); 1 in 7 smoke; 1 in 5 drink alcohol at risky levels; 2 in 3 adults do not eat healthily; and more adults are now overweight & obese than a healthy weight. People who don’t smoke, are physically active, eat healthily and only drink alcohol within recommended limits live around 14 years longer than those who don’t. A healthy lifestyle reduces the risk of diabetes, heart disease, stroke, cancer & dementia. Overweight children: 9.2% of reception year (Bucks average: 7.8%) and 15.2% of year 6 children (Bucks average 15.9%) were obese in 2011-2012 school year. NHS Health Checks: people registered with GP practices in the area are less likely to have a check when invited compared to Bucks (33.5% vs. 52.4%; 2012/13).